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PROVINCE OF NOVA SCOTIA

DELAYED REGISTRATION OF BIRTH

99000863

TO THE REGISTRAR GENERAL OF NOVA SCOTIA

I hereby make application for the Registration of Birth of Mary HelenaMacDonald Sex Female

Date of Birth July 14, 1920 Place of Birth New WaterfordCounty of Cape Breton

Name of Father   MAIDEN NAME of Mother Stella  MacDonald

Were the Parents married at the time of the Birth? No

Residence of Father when child was born Present address of Father

Occupation of Father at Birth of child Place of birth of Father

Race Name and present address of Physician in attendance at birth

Signature of Applicant Mary H. Pyle Address of Applicant Winnipeg Date October 3, 1977

Relationship of Applicant to child self

AFFIDAVIT

IN THE MATTER of the application for the Registration of the Birth of Mary HelenaMacDonald

Born at New Waterford in the County of Cape Breton

That Mary HelenaMacDonald Whose Birth is sought to be registered was

born at New Waterford Cape Breton County on July 14, 1920

My knowledge of the fact and date of such Birth is based on the following Circumstances:

My mother told me of the date of my birth - I used the above date all of my lifetime. Proof of this fact is substantiated by the enclosed birth certificate. Further evidence can be supplied if so requested,

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